{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T21:47:15Z","timestamp":1773784035589,"version":"3.50.1"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key R&D Program of China","doi-asserted-by":"publisher","award":["2023YFC2413400"],"award-info":[{"award-number":["2023YFC2413400"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Peking Union Medical College Hospital Talent Cultivation Program","award":["2025-PUMCH-A-070"],"award-info":[{"award-number":["2025-PUMCH-A-070"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pancreatic metastases of renal cell carcinoma (PM-RCC) are relatively rare. However, they exhibit unique biological behavior, often presenting as late-onset metastases with a relatively favorable prognosis. This report presents two cases of pancreatic masses detected 16 and 20\u00a0years, respectively, after radical nephrectomy for renal cell carcinoma (RCC). Both patients were asymptomatic, with the masses identified during routine health examinations. Each patient successfully underwent robot-assisted distal pancreatectomy with splenectomy. Pathological examination confirmed the diagnosis of PM-RCC in both cases, illustrating the characteristic of ultra-late metastasis in RCC. This underscores the necessity for lifelong follow-up in RCC patients and maintaining a high index of suspicion for metastasis when new pancreatic lesions are identified. Carbonic anhydrase-IX-targeted PET\/CT may be helpful as an adjunct for preoperative differential diagnosis. Our findings suggest that an aggressive surgical approach may be considered for patients in whom complete resection appears feasible.<\/jats:p>","DOI":"10.1093\/jscr\/rjag091","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T18:05:50Z","timestamp":1773770750000},"source":"Crossref","is-referenced-by-count":0,"title":["Ultra-late pancreatic metastases from renal cell carcinoma after nephrectomy: two case reports and a literature review"],"prefix":"10.1093","volume":"2026","author":[{"given":"Tao","family":"Liu","sequence":"first","affiliation":[{"name":"General Surgery Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College , No. 1 Shuai Fu Yuan, Wangfujing, Beijing, 100730 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhe","family":"Cao","sequence":"additional","affiliation":[{"name":"General Surgery Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College , No. 1 Shuai Fu Yuan, Wangfujing, Beijing, 100730 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taiping","family":"Zhang","sequence":"additional","affiliation":[{"name":"General Surgery Department, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College , No. 1 Shuai Fu Yuan, Wangfujing, Beijing, 100730 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"2026031714054813000_ref1","doi-asserted-by":"publisher","first-page":"4747","DOI":"10.3748\/wjg.v17.i43.4747","article-title":"Pancreatic metastases from renal cell carcinoma: the state of the art","volume":"17","author":"Ballarin","year":"2011","journal-title":"World J Gastroenterol"},{"key":"2026031714054813000_ref2","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1007\/s10147-019-01399-w","article-title":"Resection of pancreatic metastatic renal cell carcinoma: experience and long-term survival outcome from a large center in China","volume":"24","author":"Ma","year":"2019","journal-title":"Int J Clin Oncol"},{"key":"2026031714054813000_ref3","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13071921","article-title":"The pancreas as a target of metastasis from renal cell carcinoma: is surgery feasible and safe? 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